Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 S <br />425-257-8810 - FAX425-257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />Urro�i�i,yN cell lL <br />Owner Mail Address City State/Zip Phone <br />Tenant Mall Address City State/Zip Phone <br />AN L(I)V- `l-EKY-Tri( 141&5 Ali",(- �J A. `),1�012 `/? 19;72 3 <br />Electrical Contractor Mail Address City StalefZip Phone <br />ill I co l i'� --)l , l I C. <br />Stale License Numbbr Contract Price of Work <br />1 <br />Proposed Use of Building ) / Contact Person (Plan Review) 1 <br />Description of Work to Be Done: r1/ G -( A rj 'f 1 u it �y u <br />5 -ZO Iq1 I -Lb - s In., r i s <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a pemtd does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constriction. That l am authorized by the owner of this property to perform the <br />work or wl h application 1 m ado and I comply with the State Contractors Law 18.27 RCW and / <br />C. <br />pS y <br />g ature Date <br />